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Our NCS Prep Program provides all of the tools you'll need to pass the board specialization
test, develop your clinical skill set, and elevate your career - all while earning CEUs. With advanced
certification, you'll set yourself apart as a distinguished professional equipped to provide an advanced
level of care.

We can help you get there faster.

In this program you will study advanced topics taught by the best instructors in
neurologic therapy. With over 300 practice
questions, this 20-week program will have you well-prepared for
success on test day.

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Learn from the Best

Study advanced topics taught by the top instructors in neurologic therapy.

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Identify Strengths

Analyze your strengths & weaknesses with scores for practice
areas.

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Personalize Your Plan

Customize the program to meet your needs. Study in groups or on
your own.

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Advance Your Career

Prepare for the test and earn CEUs—all included in the annual
subscription.

Track Your Strength

The NCS Prep Program is developed in alignment with the Neurologic Description of Specialty Practice (DSP). Over 300 test questions are mapped to the DSP so participants can track their strengths and weaknesses to prepare for the exam.

See your strength in over 12 categories! Begin the NCS program today.

Practice Exam

Case Excerpt:

A 76-year-old male is admitted to an inpatient rehabilitation hospital 20 days after a left middle cerebral artery ischemic cerebrovascular accident (CVA). He underwent tissue plasminogen activator (TPA) treatment, but his hospital course was complicated by the emergence of shingles on his left flank, and MRSA in his urine. His past medical history includes atrial fibrillation, degenerative joint disease, osteoporosis, coronary artery disease, hypertension, myocardial infarction, peripheral vascular disease (PVD), coronary artery bypass graft x2, abdominal aortic aneurysm repair, and a history of smoking 1 pack per day for many years. He currently has a 2-cm unstageable ulcer on his right heel. He lives with his wife in a 2-story home and has 2 sons who live in a neighboring town. He is a retired police officer. Prior to his stroke, he walked with a cane and was able to walk 10-15 minutes before tiring. He enjoys puzzles of any kind—crossword, word search, jigsaw, etc. His wife is 10 years younger than he is, works part-time at a discount store, and is in good health.

Question:

An initial examination of this patient’s ambulation reveals the following:

Impairment in which muscle group is the most likely contributor to this
patient’s slow walking speed?

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The
neurologic clinical
specialist is expected to be
familiar with common gait
deviations and their causes post- stroke, as well as musculoskeletal contributions to
slow vs. faster walking speed. Ankle plantarflexors are important for forward propulsion and paretic leg weakness in these muscles is a common occurrence after stroke. This patient exhibits decreased push-off, consistent with such weakness. Further, plantarflexor weakness is associated with slow walking in both healthy individuals and those poststroke. The quadriceps do contribute to forward progression during gait in healthy individuals but these do not appear to be significantly weak in this patient since the knee is stable in stance phase. Muscle tightness represents a passive restriction rather than an active muscle contraction and, therefore, would not be a likely contributor to reduced walking speed.

Incorrect. Subscribe to access over 300 more questions like this one.

The correct answer is weak right plantarflexors

The neurologic clinical specialist is expected to be familiar with common gait
deviations and their causes post- stroke, as well as musculoskeletal contributions to
slow vs. faster walking speed. Ankle plantarflexors are important for forward propulsion and paretic leg weakness in these muscles is a common occurrence after stroke. This patient exhibits decreased push-off, consistent with such weakness. Further, plantarflexor weakness is associated with slow walking in both healthy individuals and those poststroke. The quadriceps do contribute to forward progression during gait in healthy individuals but these do not appear to be significantly weak in this patient since the knee is stable in stance phase. Muscle tightness represents a passive restriction rather than an active muscle contraction and, therefore, would not be a likely contributor to reduced walking speed.